Individual
MARJERIE M BADILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8780 W GOLF RD, SUITE 105, NILES, IL 60714-5602
(847) 736-0147
Mailing address
8780 W GOLF RD, SUITE 105, NILES, IL 60714-5602
(847) 736-0147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036051999-1
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051999-1
—
IL
Enumeration date
09/25/2006
Last updated
09/06/2013
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